jnriijnL a «^ jl#* MSDZCINE • S • • yjBI rjAiblj A4[EiI)ZO!r^" fcY • V'V '"5^ r-' the RESIDENCY TRAININl in the United States Navy I V < 7 WbN V, \ \ \ \ \ • ^ • fe> FE • 2^^ .ic;^,-^^^^^ .,-i^.i^ .^m^^^m^^m FOREWORD The high standards of medical practice in the Navy attest to the caliber of its Medical Corps • Naval Medical officers seeking professional advancement find ample opportunities available to tliem throughout tfieir entire naval service. The Navy encourages its medical officers to participate to the limit of their capabilities and offers every possible assistcaice in furthering their medical careers. To maintain these standards requires continuing augmentation by physicians of equal professional stature. To such men and women the Navy offers residencies which compare favorcfcly with any available in civilian hospitals* In addition, an outstanding postgraduate Medical Training Program provides opportunities for continuing professional advcaicement. i This brochure has been prepared to acquaint you with the Navy's Residency Training Program and to assist you in evaluating. Navy medicine. It is our conviction that you will find the Medical Corps of tfie United States Navy a stimulating, challenging, and rewarding career. O/VT Rear Admiral, MC, USN Surgeon General, U. S. Navy l^<^- ,-^-"**1 in tlie XJnited Sta>tes Na-vy Approved framing in every major specialty and subspecialty of medicine and surgery is available fo physicians through the Navy Residency Training Program. Residency training is sponsored by the Navy In selected U.S. Naval Hospitals, and, depending upon the needs of the service, in a number of civilian medical schools and medical centers throughout the United States. The caliber of residency training in the Navy is maintained at a high level, and all residencies are approved by the various specialty boards and by the Council on Medical Education and Hospitals of the American Medical Association. The services of eminently qualified civilian lecturers from the leading civilian medical institutions of the United States are utilized actively to assist in conduct- ing and maintaining these training programs rn accordance with the highest traditions of American medicine. For the current fiscal year there are 500 such lecturers, each selected for his proven capabilities in teaching as well as for his contributions to medical science. The civilian lecturer staff at each of the teach- ing hospitals throughout the Navy covers all the specialties in which residency training is offered. Contributions by civilian lecturers are of extreme importance in maintaining a teaching atmosphere in our training hospitals and in improving the high standards of patient care. The chiefs of the professional services in the Navy's teaching hospitals are chosen from among carefully selected naval medical officers, and qlmost without exception are diplomates of the specialty board concerned. Under any circumstances, residency training in the Navy is supervised by a diplomote of the respective specialty board. All residency training programs in the Navy are carefully integrated to assure that no vital area of training is omitted or covered superficially, whether such training is received in naval facilities or jointly in naval and civilian institutions. Also, the training program is well-bolanced to furnish the required numbers of qualified and trained physicians in specialties. The Navy attempts to keep abreast of, and to make contributions to, advancements in medical science in all of its specialties and subspecialties and expands, modifies, and improves Its residency training program accordingly. In many instances selected naval medical officers are ordered to various civilian medical centers so thaf they may work with the pioneers and authorities in the newer methods and techniques. For example, some of the Navy's cardiovascular surgeons have been working witfi civilian experts in the field of open heart surgery, the pump oxygenator, and other equipment vital to such surgery, A program has been instituted by the Bureau of Medicine and Surgery to train special teams, consisting of cardiac surgeons, cardiac physiologists, electronics physicists, anesthesiologists, nurses, and hospital corpsmen for this program. The problems created by supersonic speeds and great altitudes attained by jet aircraft, and by other recent advances in the field of aviation, have promoted a vigorous program in aviation medical research on a broadening front to keep pace with the problems. Aviation Medicine is now recognized as a distinct branch of medical science and tfie Navy has an approved residency program In this specialty at the U.S. Naval School of Aviation Medicine, a component of the U. S. Naval Aviation Medical Center, Pensacola, Florida. Specialists who meet the require- ments of tfre specialty board are now being certified by the American Board of Preventive Medicine in Aviation Medicine. Postgraduate training In public health is offered in civilian institutions. This instruction period, if It is followed by the prescribed field experience and practice will fulfill the requirements for examination in Public Health by tfie American Board of Preventive Medicine, The practice of public health assures healthful environments for the Navy's fighting forces in ships, barracks and messes, and prevents or minimizes the effects of epidemics on all Navy and Marine Corps personnel . Navy teaching hospitals provide clinical experience with patients of all age groups and both sexes. Naval officers are currently undergoing residency training or formal courses in 38 specialties and subspecialties of medicine and surgery. Requests for residency training are acted upon by the Advisory Board on Professional Matters of the Bureau of Medicine and Surgery, This board makes recommendations based upon the merits of each case, taking into consideration the professional experience, background, and aptitude of the candidate and the needs of the service in the particular specialty In which training is requested. ( 2 « I Applicants for the Residency Training Program specify in their written requests that they agree to serve for periods of active duty in accordance with the follow- ing: Residency in a Military Hospital Obligated Service Following Residency Total 1 year 2 years 3 " 4 " 1 year 2 years 3 " 4 " 2 years 4 " 6 " 8 " Courses or Residency in a Civilian School or Hospital Under Navy Sponsorship Obligated Service Following Course or Residency Tota 6 months to 1 year 2 years 3 " 4 " Two months for each month of formal training 2 years 3 " 4 " 5 " 3 years 5 " 7 " 9 " The U, S, Naval Hospitals listed below are approved for residency training. No. Patients Autopsy Hospital Total Beds Admitted Percent Oakland^ Calif. 1,325 14,387 87 San Diego, Calif. 2,125 26,399 86 Great Lakes, III. 850 10,796 86 Bethesda, Md. 1,041 12,551 90 Chelsea, Mass. 625 3,170 78 St. Albans, N. Y. 1,325 10,326 73 Philadelphia, Pa. 1,030 11,498 69 Portsmouth, Va. 1,600 21,566 80 3 The following tables show some of the professional specialties included in the Navy Residency Training Program in U. S. Naval Hospitols, and some of the relevant data concerning the hospitals and services involved, for a typical year: f ANESTHSSIOI.OG'S' Program Hospital Anesthetics Inhalation Approved for Oakland, Calif. 9,996 1,153 2 years San Diego, Calif. 13,737 2,366 2 " Bettiesda, Md. 8,882 2,458 2 " Chelsea, Moss. 5,644 1,215 2 " St. Albans, N. Y. 6,516 564 2 " Philadelphia, Pa. 6,508 1,354 2 " Ci^BDIOVASCXTLiVR DISEASES Hospital Inpatients Autopsy Program Treated Percent Approved for Bethesda, Md. San Diego, Call f • 606 914 90 87 1 year 1 " DERACATOLOCS^Y a^nd SYPHILOLOaY Hospital Inpatients Outpatients Program Treated Treated Approved for * San Diego, Calif, Philadelphia, Pa. 247 211 13,989 10,972 3 years* 3 years** One of the 3 years at the University of Southern California, Los Angeles. One of the 3 years at the University of Pennsylvania, Philadelphia, Pennsylvania. 6ENERA.X. PRACTICE Hospital Admissions Autopsy Program Beds Percent Approved for San Diego, Calif. Oakland, Calif. 26,339 14,387 2,125 1,325 86 87 2 years 2 " INTERN^A.!. MEHICINE Inpatients Program Hospital Treated Approved for Oakland, Calif. 3,256 3 years San Diego, Calif. 4,690 3 " Great Lakes, III. 3,573 2 " Bethesda, Md. 773 3 " Chelsea, Mass, 2,258 3 " St. Albans, N. Y. 1,598 3 " Philadelphia, Pa. 2,658 3 " Portsmouth, Va. 4,546 3 " Hospital Bethesda, Md» Philadelphia, Pa, NEXJROI-OGY Inpatients Treated 302 131 Program Approved for 2 years* 1 year** * Third year training in Neurology is given in a civilian hospital under naval sponsorship. ** Second and third years are given in a civilian hospital under naval sponsorship, OSSTETRICS axid GYNECOLOGY Inpatients Progi •am Hospital Treated Births Approved for Oakland, Calif. 3,923 2,111 3> 'ears San Diego, Calif. 7,431 4,753 3 Great Lakes, III. 3,455 1,985 3 Bethesda, Md. 3,445 2,123 3 Chelsea, Mass. 1,505 1,320 3 St. Albans, N. Y. 2,529 1,689 3 Philadelphia, Pa. 2,746 1,835 3 Portsmouth, Va. 6,563 4,884 3 5 OPIITXIA.I.iaOLOGV Inpatients Outpatients Program Hospital Treated Treated Approved for Oakland, Calif. 366 7,286 3 years Son Diego, Calif. 408 17,923 3 " Bethesda, Md. 1,055 6,197 3 " St. Albans, N. Y. 173 5,278 3 " Philadelphia, Pa. 310 7,490 3 " ORTKOPEDIC SURGERY Inpatients Program Hospital Treated Approved for Chelsea, Mass.* 903 3 years Oakland, Calif.* 1,615 3 " Portsmouth, Va.* 2,335 3 " Bethesda, Md.** 978 4 " Philadelphia, Pa.** 916 4 " One year children's orthopedics given at civilian hospital under Navy sponsorship. One year children's orthopedics given at Alfred I. DuPont Institute of the Nemours Foundation, Wilmington, Delaware I 4 OTOLARYNGOLOGY Inpatients Outpatients. Program Hospital Treated Treated Approved for Oakland, Calif, 935 7,629 3 years San Diego, Calif. 1,461 14,025 3 " Bethesda, Md. 1,284 7,763 3 " Philadelphia, Pa, 645 5,712 3 ". 6 PA.TIIOLOGV Specimens Examined Program Laboratory Surgical Microscop- Approved Hospital Autopsies Examinations Specimens ically for Oakland, Calif. 193 198,919 8,394 8,394 4 years Son Diego, Calif. 401 672,796 7,382 7,382 4 " Bethesdo, Md. 206 408,208 13,467 13,467 4 " St. Albans, N. Y. 100 358,152 8,098 8,048 4 " Philadelphia, Pa. 189 264,475 3,503 3,503 4 " PEDIA-TItlCS Inpatients Program Hospital Treated Approved for Oakland, Calif. 1,662 2 years San Diego, Calif. 1,337 2 " Bethesda, Md. 1,143 2 " Chelsea, Mass. 802 2 " Philadelphia, Pa. 402 2 " Portsmouth, Va. 1,341 2 " PREVENTIVE BCEDICINE Ci^VIi^TION ACEDICINE) School Program Approved for Naval School of Aviation Medicine, U.S. Naval Aviation Medical Center, Pensacola, Florida 2 years PSYCIIIi\.TRY Hospital Inpatients Treated Program Approved for Oakland, Calif. Bethesda, Md. Philadelphia, Pa. 1,220 651 1,480 3 years 3 " 2 " 7 Ri^DIOLOGV Superficial Program X-Ray Deep X-Ray X-Ray Approved Hospital Examinations Treatments Treatments for Oakland, Calif.* 34,452 1,878 209 3 years San Diego, Calif. 84,023 6,450 105 3 " Bethesda, Md.* 40,564 3,042 203 3-1/2 years Chelsea, Mass.* 20,232 750 268 3 years St. Albans, N. Y. 57,662 3,526 42 3 " Philadelphia, Pa. 49,962 1,827 70 3 " One year in radiation therapy at a civilian institution. Hospital SURGERY Inpatients Treated Program Approved for Oakland, Calif. San Diego, Calif. Great Lakes, III. Bethesda, Md. Chelsea, Mass, St. Albans, N. Y. Philadelphia, Pa. Portsmouth, Va, 1,701 2,846 1,811 1,646 2,628 1,596 2,477 3,719 4 years 4 " 4 " 4 " 4 " 4 " 4 " 4 " XIXOIIA.CZC SXTRGEEIY Hospital Inpatients Treated Program Apprc San Diego, Calif. St. Albans, N. Y. 229 230 2 years 2 " XTROLOO'S' Hospital Inpatients Treated Program Appr Oakland, Calif. San Diego, Calif. Bethesda, Md. St. Albans, N. Y. Philadelphia, Pa. 745 1,205 643 496 492 3 years 3 " 3 " 3 " 3 " 8 Besideztcies in Na^va.! Activities a.zid Oblig^aited Service Beciuirezitezits Re si don cy Ht Re fen te Lomond NAVAL HOSPITALS | BETHESDA MD. CHELSEA MASS. G" LAKES ILL. OAKLAND CALIF. PHIL A. PA. PTSMTH VA. SAN DIEGO CALIF. ST . ALBANS 1 N.Y. 1 1 .8 1 1 OB i t s -1 8 1 E. 6 1 01 1 1 ■s 1 -J 8 1 6 ! -i 8 £ "S 1, o % 1 8 'E J} 1 1 8 1 1 6 1 ! 8 'E J! 1 ANESTHESICHOGY 2 2 2 2 2 2 2 1« 2 2 2 2 AVIATION MEDICINEt CARDIOVASCaAR DIS* 1 1 1 DERM4 SYPHILOLOGY 3 2« 2* GENERAL PRACTICE 2 2 INTERNAL MEDICINE 3 3 3 2 3* 4« 3 3 3 3 3 3 3 NEUROLOGY 5* 1 6« 08 & GYN 3 3 3 3 3 3 3 3 3 3 3 3 OPHTHALMOLOGY 3 3 3 3 3 3 ORTHOPEDIC SURGERY 7» 3 I* B« 3 7# 3 1* OTOLARYNGOL OGY++ 4 4 4 4 PATHOLOGY 4 4 4 4 4 4 PEDIATRICS 2 2 2 2 2 2 2 2 PLASTIC SURGERY 9» 1 9« PSYCHIATRY 3 2 to« RADIOLOGY • 1 11« 3 12* 13* 3 3 14* 3 15« SURGERY 4 4 4 4 4 4 4 4 4 4 4 4 THORACIC SURGERY 2 2 2 UROLOGY 3 tt« 3 16* 3 16* 16« 3 16# (PLEASE NOTE: Foohnotes and Legend appear on following pages.) 9 (Footnotes to Table on preceding page,) + The U. S. Naval School of Aviatfort Medicine, U. S. Naval Air Station, Pensacola, Florida, and the Aviation Medicine Acceleration Laboratory, Johnsville, Pennsylvania, are approved for 2 years of residency training in Aviation Medicine. This includes the in-service portion of the complete program. Two years of obligated service required. One year of training in Preventive Medicine rn an approved civilian university may be taken prior to, or after the in-service assignment. For this year, 2 years of obligated service are required. Total obligated service for the entire program will be 4 years, +t The training program in otolaryngology for residents entering training after 1 July 1960 will include 1 year in an approved residency in general surgery, in addition to the presently required 3 years in otolaryngology « Total obligated service for the entire program will be 4 years. ♦ LEGEND 1 Optional 3 year program with 1 year assignment to the University Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, If this program is selected, total obligated service would be 4 years, 2 * Philadelphia: 1 year at the Lhiversity of Pennsylvania, San Diego: 1 year at the Uhiversity of Southern California at Los Angeles, Obligated service, 4 years. 3 Great Lakes pending approval for 3 full years of training. Obligated service 3 years when approval granted, 4 May include 1 year in Clinical Investigation at the Clinical Investigation Center, Oakland, California. No additional obligated service required. 5 Third year of training is given in a civilian institution under Bureau sponsorship. Obligated service, 4 years, 6 Second year received at Naval Hospital, Bethesda, Maryland, Legend 5 above applies to the third year. Obligated service, 4 years. 7 Affiliated with the Alfred I. Dupont Institute of the Nemours Foundation, Wilmington, Delaware, for the 4th year of training in Children's Orthopedics. Obligated service, 5 years, 8 The fourth year to be taken in a civilian institution in Children's Orthopedics, under sponsorship of the Bureau. The institution may be selected by the candidate subject to approval by the Bureau. Obligated service, 5 years. 10 9* Pending approval for a 1-year program to be followed by 1 year in a civilian institution. Obligated service, 3 years. This does not include the General Surgery residency training required as a prerequisite to Plastic Surgery, 10 The third year will be given at a naval hospital or in a civilian institution under Bureau sponsorship. Obligated service, 3 or 4 years depending on selection for the final year. 1 1 Includes 1 year o\ the University of Chicago, 4 months in Radioactive Isotopes and 2 months at Armed Forces Institute of Pathology, Washington 25, D, C. Total obligated service, 4-1/2 years, 12 Includes 1 year at the Massachusetts General Hospital, Boston, as an affiliated program. Obligated service, 4 years. 13 Includes 1 year at the Los Angeles Tumor Institute, Los Angeles, California. Obligated service, 4 years. 14 May include (optional) 1 year at the University of California at Los Angeles, Medical School, Los Angeles, California. If this program is selected, obligated service, 4 years. # 15 Includes the 4 months' course in Radioactive Isotopes at Naval Hospital, Bethesda. Obligated service, 3 years. 16 Programs provide for the firsfyear in General Surgery or Internal Medicine for a full 4-year program. Obligated service, 4 years. In order to provide maximum opportunities for training and to supplement or complement naval hospital programs, assignment of participants may be made to a medical school or civilian hospital for a part of their residency training. At the present time, dual training is being provided in the following specialties: anesthesiology, cancer surgery, dermatology and syphilology, hematology, internal medicine, neurology, neuropsychiatry, nuclear medicine, obstetrics and gynecology, occupational medicine, ophthalmology, pediatrics, psychoanalysis training, the clinical use of radioactive isotopes, radiobiology, radiology, surgery, thoracic surgery and urology. In the few specialties in which the Navy does not have formal board approved programs, in naval hospitals, residency training for medical officers is sponsored by the Navy in leading civilian medical institutions. Examples include: allergy, plastic surgery, neurosurgery, preventive medicine, children's orthopedic surgery and astronautical medicine. 11 the BiCilitairsr BCedicail Specialities Aviation Medicine The School of Aviation Medicine at Pensacola, Florida, offers a course In aviation medicine. This course is six months in length and includes training at the Flight and Ground School. Three classes convene each year. Upon completion of a course of Instruction, the graduates are designated *' Naval Flight Surgeons", and are assigned to a two-year period of operational duty. In addition, the School of Aviation Medicine is approved for residency training in aviation medicine. This residency training may be requested after completion of the two-year operational duty assignment. It consists of one year of public health at a civilian institution and two years of residency training in aviation medicine at the school in Pensacola, or any of the approved aviation research laboratories. Following completion of such training, flight surgeons are considered eligible, after an additional two years operational tour of duty, to apply for examination for board certification in aviation medicine. Also, several large naval laboratories provide opportunities for research related to aviation medicine. These laboratories are located at Johnsville, Pennsylvania; Philadelphia, Pennsylvania; the School of Aviation Medicine, Pensacola, Florida, and the Naval Medical Research Institute, National Naval Medical Center, Bethesda, Maryland, Submarine Medicine This military medical specialty supports all phases of underwater operations in the Navy. Training in this specialty is particularly valuable to those having an interest In occupational medicine, public health, radiobiology or research. The basic six months'* course of training includes lectures, demonstrations, laboratory work, and cruises in submorines, rescue vessels, and tenders. Upon completion of the first four months, two alternatives are available to the student. He may elect to take a course in either radiobiology or underwater physiology during the last eight weeks. Although the major part of the submarine course is given at the Submarine School and Medical Research Laboratory at the Submarine Base, New London, Connecti- cut, the course in radiobiology is given at the Nuclear Power Division of the Submarine School. The essentials of nuclear physics, nuclear engineering, health physics, and the biological effects of radiation are taught. Medical officers who complete this course will be assigned to duty with the nuclear power submarine program , 12 The course in underwater physiology is taughf at the U. S. Naval Deep Sea Diving School, Naval Weapons Plant, Washington, D, C. Here the student learns about the physiological problems involved in diving and underwater swimming. He learns about diving bv completing deep sea diving exercises. The course also covers the recognition ana treatment of pathological conditions resulting from exposure to high atmospheric pressures. Those completing this course will be assigned duties witfi conventional submarine squadrons or operational units employing divers and underwater swimmers. Upon completion of a tour of duty witfi an operational unit the medical officer may apply for postgraduate training. He may prepare for certification in occupational medicine by the American Board of Preventive Medicine by attending one of the public health schools and by subsequent field duty ashore and afloat. He may prepare himself for a career In research by a postgraduate year at the University of Pennsylvania School of Medicine. Clinical medical specialty training In all fields is available; having served with an operational unit adds weight to one's applica- tion. Research Program The Navy is vitally concerned with research and provides a wide variety of opportunities for medical officers interested in this field. Research is being con- ducted now In aviation medicine, submarine medicine, clinical specialties, amphibious and field medicine, tropical and exotic diseases, and the medical aspects of nuclear, biological, and chemical warfare defense. These research facilities are provided In 15 In-service laboratories, strategically located throughout the world. Amphibious and Marine Corps Field Medicine Recognized as an imporfant military operational medical specialty, this training is conducted at Camp Lejeune, N. C, and Camp Pendleton, Calif. This specialty offers valuable training In the methods of sorting, managing, and evacuating mass casualties. In addition, training is offered in the development of field medical equipment, field sanitation methodology and practices, medical logistic support, and patient care under combat conditions. Nuclear Medicine Graduate courses In nuclear medicine are conducted at several naval hospitals in affiliation with civilian Institutions. Additional graduate courses In radloblology are sponsored at Reed College, Portland, Oregon, and the University of Rochester, Rochester, New York, to train personnel In the fields of nuclear propulsion, radiological safety, and special weapons effects. Formal courses are conducted in the clinical use of radioisotopes at the U.S. Naval Medical School, National Naval Medical Center, Bethesda, Md. This course is approved by the Atomic Energy Commission. It Is designed to fulfill the needs of residents who desire certification by the American Board of Radiology, as well as residents in other specialties who may need to acquire a better under- standing of the clinical utilization of radioisotopes in diagnostic and therapeutic procedures. 13 Tlie Naivy Welcomes ITou As a resident you will have an opportunity to observe and to participate in the professional and social life of the Naval Medical Corps. In turn, the Navy will welcome you and your family. We believe that your acquaintance with Navy life and our professional accomplishments will influence many of you to choose the Navy's Medical Corps as your career. The Navy community affords ample opportunity to establish new and worthwhile friendships and to participate in the group activities that play such an important role in everydoy life. The Navy Doctors' Wives' Club and the Navy Wives' Club offer interesting programs and social events for entertainment and relaxation. In the Navy one does not remain a stranger for any length of time, for each new assignment brings the reunion of old friends. A Navy Medical officer is able to spend more time with his family than is a civilian physician, except during on occasional "tour of sea duty. His family may travel with him on peacetime tours of duty to foreign lands and foreign ports throughout the world. The naval commissary store is a small supermarket selling quality foods at low cost. The Navy Exchange sells clothing, cigarettes, electrical appliances, household goods, sporting goods, photographic equipment and supplies, cosmetics, and other items at consldercfcle savings. The Navy recognizes the importance of child education and provides or makes accessible the best possible schools. i 14 Religious services are regularly conducted at naval stations for the benefit of the members of all faiths. At all naval stations and hospitals, there are movies and organized recreation available to the entire family. There are general libraries for family use, as well as medical libraries. Officers' clubs provide facilities for dancing, dining, and offier forms of recreation. 15 Listed below are fhe approximafe annual incomes of naval medical officers based on the number of years' service normally required for promotion to the various ranks: APPROXIMATE ANNUAL INCOME* Rank Married or With Single Without Dependents Dependents LIEUTENANT (JG) USNR (INTERNSHIP) $ 6,144 $ 5,945 LIEUTENANT (during internship) 6,785 6,580 LIEUTENANT (after internship) 7,985 7,780 LIEUTENANT COMMANDER 11,010 10,704 COMMANDER 13,374 12,966 CAPTAIN 16,134 15,930 REAR ADMIRAL—Lower Half 19,722 19,314 REAR ADMIRAL—Upper Half 21,822 21,414 This includes incentive pay which medical and dental officers receive at the rate of $100 a month during the first two years of active service, exclusive of internship. This amount is Increased to $150 a month during the third to sixth years inclusive, $200 a month during the seventh to tenth years inclusive, and $250 a month for those who have completed 10 or more years of active service . 16 The Navy docfor's fake-home pay compares favorably with that of a civMian physician. His income is not reduced by the usual overhead expenses associated with private practice. His Navy benefits include vacations with pay, full pay during illness, and retirement pay , The Navy medical officer is provided with excellent medical and dental care, including hospitalization. His dependents are eligible for medical core and hospitalization. A Navy medical officer who becomes disabled and unfit for duty is eligible for physical disability retirement benefits or severance pay, depending on the length of active service and the degree of his disability. Naval medical officers may voluntarily retire after 20 years of active duty, if their request for retirement is approved by the Secretary of the Navy. Retirement pay is computed at the rate of 2-1/2 per cent of base pay, multiplied by the number of years of service. Recent legislation authorized longevity credit for the four years of medical education, plus one year for civilian medical internship. This longevity credit is reflected in the base pay and is used to compute the retired pay of a naval medical officer. For example, after 20 years of active duty, a captain receives $568 monthly retired pay; after 25 years of active duty the monthly retired pay of a captain is $738. In addition, retired naval medical officers are entitled to receive Social Security benefits* The naval medical officer is entitled annually to 30 days' leave, and may accumu- late up to 60 days of leave . Railroads allow discounts for military personnel in uniform. Officers' clubs provide a wide variety of recreational and entertainment facilities amid attractive surroundings at reasonable cost. The naval medical officer enfoys the peace of mind that comes with financial security in health, in sickness or in disobility. His increase in pay is commen- surate with his increase in rank, and within-grade raises are automatic. 17 FOR FURTHER INFORMATION, WRITE TO THE OFFICER IN CHARGE OF YOUR NEAREST: XT.S. NAVY ALBANY 1, NEW YORK PosJ" Office Building - Broadway ALBUQUERQUE, NEW MEXICO 106 Broadway, Southeast ASHLAND, KENTUCKY 321 13th Street BALTIMORE 2, MARYLAND Post Office Building - Calvert and Fayette Streets BIRMINGHAM, ALABAMA Post Office and Court House Building 18th and 19th Streets and 5th Avenue, N. W. BOSTON 10, MASSACHUSETTS 560 Atlantic Avenue BUFFALO 3, NEW YORK Post Office Building - Elllcott, Swan and Oak Streets CHICAGO 5, ILLINOIS 536 S. Clark Street CINCINNATI 2, OHIO Harrison Building —209 East Sixth Street CLEVELAND, OHIO Federal Building - Public Square COLUMBIA 1, SOUTH CAROLINA Federal Court House Building, 1 100 Laurel Street COLUMBUS 15, OHIO New Post Office Building - Gay and Marconi Streets 18 DALLAS 2, TEXAS 1320 Jackson Street DENVER 2, COLORADO New Customs House - 19th and California Streets DE5 MOINES 9, IOWA Federal Office Building - 5th and Court Streets DETROIT 26, MICHIGAN Room 413, Federal Building - Fort and Shelby Streets HOUSTON 31, TEXAS Veterans Administration Hospital - Post Office Box 17085 INDIANAPOLIS 2, INDIANA 215 East New York Street JACKSONVILLE 1, FLORIDA Post Office Building - 31 1 West Monroe Street KANSAS CITY 8, MISSOURI 2603 Walnut Street LITTLE ROCK, ARKANSAS Post Office Building - 2nd and Center Streets LOS ANGELES 17, CALIFORNIA 759 South Figueroa Street LOUISVILLE 2, KENTUCKY Post Office Building - 7th and Broadway MACON, GEORGIA 653-63 Second Street MINNEAPOLIS 1, MINNESOTA Federal Office Building -Washington and 2nd Avenues, South NASHVILLE 3, TENNESSEE New Court House Building - Broad Street and 9th Avenue, South (Continued, next page) 19 NEW ORLEANS 40, LOUISIANA Room 302, U.S. Customs House - 423 Canal Street NEW YORK 13, NEW YORK 346 Broadway OKLAHOMA CITY 2, OKLAHOMA Buick Building — 1101 North Broadway OMAHA 11, NEBRASKA Naval Personnel Center PHILADELPHIA?, PENNSYLVANIA Blackburn Building - 13 South 13th Street PITTSBURGH 19, PENNSYLVANIA Old Post Office Building - 300 Smittifield Street PORTLAND, OREGON Pioneer Post Office - 520 S. W. Morrison Street RALEIGH, NORTH CAROLINA P. O. and Court House - 300 Fayetteville Street RICHMOND, VIRGINIA 900 North Lombardy Street ST. LOUIS 1, MISSOURI Old U.'S. Customs House - 815 Olive Street SAN FRANCISCO 2, CALIFORNIA Federal Office Building -Leavenworth and Fulton Streets SEATTLE 1, WASHINGTON 1 10 Union Street WASHINGTON 4, D. C. 631 "E" Street, N.W. 20 You may obtain additional information concerning the Navy's Residency Training Program by vislttng or writing the Officer in Charge of your nearest U. S, Navy Recruiting Station, by contacting the Command- ing Officer of your nearest Naval Hospital, or by writing direct to the Chief, Bureau of Medicine and Surgery, Department of the Navy, Washington 25, D. 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